Shadisha K Bennett Brodde LPC

  • NPI 1477826022
According to our database, the NPI number for Shadisha K Bennett Brodde LPC is 1477826022 and activated since 12 years ago. Shadisha K Bennett Brodde LPC is an individual provider who specializes in Mental Health, and the primary practice location is 910 Golden Lake Loop, Saint Augustine, FL 32084. You can also contact Shadisha K Bennett Brodde LPC via telephone number is (478) 387-5582. Provider NPI information was last updated on 06/16/2021.

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Overview of Shadisha K Bennett Brodde LPC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/13/2012
  • Last updated: 06/16/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: MH18303
  • License State: FL

Provider Mailing Address

  • Address: 910 Golden Lake Loop
    Saint Augustine, FL 32084
  • Phone: 478-387-5582
  • Fax:

Provider Practice Location

  • Address: 910 Golden Lake Loop
    Saint Augustine, FL 32084
  • Phone: 478-387-5582
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: 178005880
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shadisha K Bennett Brodde LPC?
  • A: The npi number for Shadisha K Bennett Brodde LPC is 1477826022.
  • Q: What are Shadisha K Bennett Brodde LPC's specialties?
  • A: Shadisha K Bennett Brodde LPC's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Shadisha K Bennett Brodde LPC?
  • A: The medical license number for Shadisha K Bennett Brodde LPC is MH18303 and issued in FL in USA.
  • Q: Where is Shadisha K Bennett Brodde LPC practice location?
  • A: Shadisha K Bennett Brodde LPC is practicing at 910 Golden Lake Loop, Saint Augustine, FL 32084.
  • Q: How to contact Shadisha K Bennett Brodde LPC?
  • A: You can contact Shadisha K Bennett Brodde LPC via 478-387-5582.
Medicare Specialty
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